Provider Demographics
NPI:1710099890
Name:BEHNING, KEELY CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:KEELY
Middle Name:CHRISTINE
Last Name:BEHNING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KEELY
Other - Middle Name:CHRISTINE
Other - Last Name:BATTAGLINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3813 HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-1624
Mailing Address - Country:US
Mailing Address - Phone:612-469-5432
Mailing Address - Fax:
Practice Address - Street 1:1284 CORPORATE CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1280
Practice Address - Country:US
Practice Address - Phone:612-775-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7165225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist